Custodio, Haidee T.

Custodio, Haidee T. is an individual health care provider with primary practice located at 1601 Center Street Ste 1S, Mobile AL 36604-3207. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Custodio, Haidee T. can be contacted via phone (251) 410-5437.

Contact Information

Primary practice address
1601 Center Street Ste 1S Mobile AL 36604-3207
Phone: (251) 410-5437
Fax: (251) 434-3852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 30839 Alabama
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TRN12314 Florida

Profile Details

NPI number 1720247075
LBN Legal business name Custodio, Haidee T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2008
Last updated Mar 6th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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